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Potential Nurses & Nursing Students

Opportunities: Careers in Nursing

Would You Like to Be a Nurse?

Nursing can be an extremely rewarding profession if you are a dedicated, compassionate individual who can develop a good rapport with all types of people.

If you’ve thought about becoming a Nurse, but still aren’t sure this profession is for you, this section will give you information to help make your decision easier.

Definitions of Nursing

In all states nursing is regulated by a Practice Act.  In Illinois it is the Illinois Nursing and Advanced Practice Nursing Act.  The Practice Act defines both Registered Professional Nursing and Licensed Practical Nursing.  Those definitions are

(i)"Practical nurse" or "licensed practical nurse" means a person who is licensed as a practical nurse under this Act and practices practical nursing as defined in paragraph (j) of this Section. Only a practical nurse licensed under this Act is entitled to use the title "licensed practical nurse" and the abbreviation "L.P.N.".
(j) "Practical nursing" means the performance of nursing acts requiring the basic nursing knowledge, judgment, and skill acquired by means of completion of an approved practical nursing education program. Practical nursing includes assisting in the nursing process as delegated by and under the direction of a registered professional nurse. The practical nurse may work under the direction of a licensed physician, dentist, podiatrist, or other health care professional determined by the Department.
(k) "Registered Nurse" or "Registered Professional Nurse" means a person who is licensed as a professional nurse under this Act and practices nursing as defined in paragraph (l) of this Section. Only a registered nurse licensed under this Act is entitled to use the titles "registered nurse" and "registered professional nurse" and the abbreviation, "R.N.".
(l) "Registered professional nursing practice" includes all nursing specialties and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved registered professional nursing education program. A registered professional nurse provides nursing care emphasizing the importance of the whole and the interdependence of its parts through the nursing process to individuals, groups, families, or communities, that includes but is not limited to: (1) the assessment of healthcare needs, nursing diagnosis, planning, implementation, and nursing evaluation; (2) the promotion, maintenance, and restoration of health; (3) counseling, patient education, health education, and patient advocacy; (4) the administration of medications and treatments as prescribed by a physician licensed to practice medicine in all of its branches, a licensed dentist, a licensed podiatrist, or a licensed optometrist or as prescribed by a physician assistant in accordance with written guidelines required under the Physician Assistant Practice Act of 1987 or by an advanced practice nurse in accordance with a written collaborative agreement required under the Nursing and Advanced Practice Nursing Act; (5) the coordination and management of the nursing plan of care; (6) the delegation to and supervision of individuals who assist the registered professional nurse implementing the plan of care; and (7) teaching and supervision of nursing students. The foregoing shall not be deemed to include those acts of medical diagnosis or prescription of therapeutic or corrective measures that are properly performed only by physicians licensed in the State of Illinois.

Additionally the Rules for the Administration of the Illinois Nursing Act include minimal skills lists for Registered Nurses and Licensed Practical Nurses.  They are also listed here:

The minimal skills for registered professional nurses …are as follows:  

a)  Nursing Care Plan
Take a complete history and do a complete physical assessment, including all body systems, to develop a nursing care plan.  

b)  Standard Precautions and Infection Control
Demonstrate aseptic technique, isolation technique, reverse isolation technique and central line site care.  

c)  Medications
Demonstrate ability to calculate dosages.  Prepare and administer oral, ear, eye, subcutaneous, intramuscular, Z-track (method of injection), and intradermal medications.  Identify and utilize different types of needles, syringes, vials, ampoules and tubex. 

d)  Intravenous (IV) Therapy
Set up equipment for starting an IV and demonstrate ability to start an IV.  Demonstrate ability to start, stop and adjust intravenous pump. Demonstrate understanding of blood administration procedures and, if available, start a blood administration. 

e)  Fluids
Calculate intake and output for complex conditions:  intravenous, hyperalimentation, bladder irrigations and nasogastric tube.  

f)   Cardiovascular System
Locate all pulses and demonstrate use of Doppler.  Set up the equipment for central line insertion.  

g)  Pulmonary System
Perform chest percussion, postural drainage and coughing.  Demonstrate tracheostomy care and suctioning.  Collect a sputum specimen.  Monitor chest drainage and closed chest drainage systems.  Transport patients with oxygen. Describe different types of oxygen administration equipment.  Do preoperative teaching, including deep breathing, coughing and pursed lip breathing.  

h)  Gastrointestinal System
Insert nasogastric tube.  Administer tube feeding and medications by nasogastric tube.  Identify ileostomy and colostomy appliances.  

i)   Genitourinary System
Identify types and general sizes of catheters.  Describe procedure for male and female catheterization and do catheterization (if available).  Set up post TUR irrigation and do post transurethral resection (TUR) irrigation. Collect urine specimens. 

j)   Neurological and Musculoskeletal Systems
Demonstrate range of motion exercises and crutch walking.  Demonstrate proper turning of patients, e.g., a hip replacement patient.  

k)  Endocrine System
Do self-monitoring of blood glucose. 

l)   Reproductive Systems
Perform episiotomy care.

The minimal skills for licensed practical nurses…are as follows:  

a)  Nursing Care Plan
Participate in the collection of data with the registered nurse to assist in developing a nursing care plan.  

b)  Standard Precautions and Infection Control
Demonstrate aseptic technique, isolation technique and reverse isolation technique.  

c)  Medications (administration under supervision of registered nurse)
Demonstrate ability to calculate dosages.  Prepare and administer oral, ear, eye, subcutaneous, intramuscular, z-track (method of injection), and intradermal medications.  Identify and utilize different types of needles, syringes, vials, ampoules and tubex.  

d)  Intravenous (IV) Therapy (performed under supervision of registered nurse)
Set up equipment for starting an IV and demonstrate ability to adjust and stop intravenous pump.  Hang intravenous fluids and calculate rate. Discontinue fluids.  

e)  Fluids
Calculate intake and output for complex conditions:  monitor intravenous, hyperalimentation, bladder irrigations and nasogastric tube.  

f)   Cardiovascular System
Locate all pulses and demonstrate use of Doppler.  

g)  Pulmonary System
Perform chest percussion, postural drainage and coughing.  Demonstrate tracheostomy care and suctioning.  Collect a sputum specimen.  Monitor chest drainage.  Transport patients with oxygen.  Describe different types of oxygen administration equipment.  Do preoperative teaching, including deep breathing, coughing and pursed lip breathing.  

h)  Gastrointestinal System
Insert nasogastric tube.  Administer tube feeding and medications by nasogastric tube.  Identify ileostomy and colostomy appliances.  

i)   Genitourinary System
Identify types and general sizes of catheters.  Describe procedure for male and female catheterization and do catheterization (if available).  Set up post TUR irrigation and do post transurethral resection (TUR) irrigation. Collect urine specimens.  

j)   Neurological and Musculoskeletal Systems
Demonstrate range of motion exercises and crutch walking.  Demonstrate proper turning of orthopedic patients, e.g., a hip replacement patient.  

k)  Endocrine System
Do self-monitoring of blood glucose.  

l)   Reproductive Systems
Perform episiotomy care.

The above definitions of nursing and practical nursing and the list of minimal skills for each excerpted from the Nursing Act and Rules give you an idea about the Scope of Nursing Practice.  The Bureau of Labor Statistics describes the Nature of the Work on its website and will give you a pretty broad perspective on the work of nurses.  The Bureau says the following about nursing:

Nature of the Work

   

Registered nurses (RNs), regardless of specialty or work setting, perform basic duties that include treating patients, educating patients and the public about various medical conditions, and providing advice and emotional support to patients’ family members. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation.

RNs teach patients and their families how to manage their illness or injury, including post-treatment home care needs, diet and exercise programs, and self-administration of medication and physical therapy. Some RNs also are trained to provide grief counseling to family members of critically ill patients. RNs work to promote general health by educating the public on various warning signs and symptoms of disease and where to go for help. RNs also might run general health screening or immunization clinics, blood drives, and public seminars on various conditions.

RNs can specialize in one or more patient care specialties. The most common specialties can be divided into roughly four categories—by work setting or type of treatment; disease, ailment, or condition; organ or body system type; or population. RNs may combine specialties from more than one area—for example, pediatric oncology or cardiac emergency—depending on personal interest and employer needs.

RNs may specialize by work setting or by type of care provided. For example, ambulatory care nurses treat patients with a variety of illnesses and injuries on an outpatient basis, either in physicians’ offices or in clinics. Some ambulatory care nurses are involved in telehealth, providing care and advice through electronic communications media such as videoconferencing or the Internet. Critical care nurses work in critical or intensive care hospital units and provide care to patients with cardiovascular, respiratory, or pulmonary failure. Emergency, or trauma, nurses work in hospital emergency departments and treat patients with life-threatening conditions caused by accidents, heart attacks, and strokes. Some emergency nurses are flight nurses, who provide medical care to patients who must be flown by helicopter to the nearest medical facility. Holistic nurses provide care such as acupuncture, massage and aroma therapy, and biofeedback, which are meant to treat patients’ mental and spiritual health in addition to their physical health. Home health care nurses provide at-home care for patients who are recovering from surgery, accidents, and childbirth. Hospice and palliative care nurses provide care for, and help ease the pain of, terminally ill patients outside of hospitals. Infusion nurses administer medications, fluids, and blood to patients through injections into patients’ veins. Long- term care nurses provide medical services on a recurring basis to patients with chronic physical or mental disorders. Medical-surgical nurses provide basic medical care to a variety of patients in all health settings. Occupational health nurses provide treatment for job-related injuries and illnesses and help employers to detect workplace hazards and implement health and safety standards. Perianesthesia nurses provide preoperative and postoperative care to patients undergoing anesthesia during surgery. Perioperative nurses assist surgeons by selecting and handling instruments, controlling bleeding, and suturing incisions. Some of these nurses also can specialize in plastic and reconstructive surgery. Psychiatric nurses treat patients with personality and mood disorders. Radiologic nurses provide care to patients undergoing diagnostic radiation procedures such as ultrasounds and magnetic resonance imaging. Rehabilitation nurses care for patients with temporary and permanent disabilities. Transplant nurses care for both transplant recipients and living donors and monitor signs of organ rejection.

RNs specializing in a particular disease, ailment, or condition are employed in virtually all work settings, including physicians’ offices, outpatient treatment facilities, home health care agencies, and hospitals. For instance, addictions nurses treat patients seeking help with alcohol, drug, and tobacco addictions. Developmental disabilities nurses provide care for patients with physical, mental, or behavioral disabilities; care may include help with feeding, controlling bodily functions, and sitting or standing independently. Diabetes management nurses help diabetics to manage their disease by teaching them proper nutrition and showing them how to test blood sugar levels and administer insulin injections. Genetics nurses provide early detection screenings and treatment of patients with genetic disorders, including cystic fibrosis and Huntington’s disease. HIV/AIDS nurses care for patients diagnosed with HIV and AIDS. Oncology nurses care for patients with various types of cancer and may administer radiation and chemotherapies. Finally, wound, ostomy, and continence nurses treat patients with wounds caused by traumatic injury, ulcers, or arterial disease; provide postoperative care for patients with openings that allow for alternative methods of bodily waste elimination; and treat patients with urinary and fecal incontinence.

RNs specializing in treatment of a particular organ or body system usually are employed in specialty physicians’ offices or outpatient care facilities, although some are employed in hospital specialty or critical care units. For example, cardiac and vascular nurses treat patients with coronary heart disease and those who have had heart surgery, providing services such as postoperative rehabilitation. Dermatology nurses treat patients with disorders of the skin, such as skin cancer and psoriasis. Gastroenterology nurses treat patients with digestive and intestinal disorders, including ulcers, acid reflux disease, and abdominal bleeding. Some nurses in this field also specialize in endoscopic procedures, which look inside the gastrointestinal tract using a tube equipped with a light and a camera that can capture images of diseased tissue. Gynecology nurses provide care to women with disorders of the reproductive system, including endometriosis, cancer, and sexually transmitted diseases. Nephrology nurses care for patients with kidney disease caused by diabetes, hypertension, or substance abuse. Neuroscience nurses care for patients with dysfunctions of the nervous system, including brain and spinal cord injuries and seizures. Ophthalmic nurses provide care to patients with disorders of the eyes, including blindness and glaucoma, and to patients undergoing eye surgery. Orthopedic nurses care for patients with muscular and skeletal problems, including arthritis, bone fractures, and muscular dystrophy. Otorhinolaryngology nurses care for patients with ear, nose, and throat disorders, such as cleft palates, allergies, and sinus disorders. Respiratory nurses provide care to patients with respiratory disorders such as asthma, tuberculosis, and cystic fibrosis. Urology nurses care for patients with disorders of the kidneys, urinary tract, and male reproductive organs, including infections, kidney and bladder stones, and cancers.

Finally, RNs may specialize by providing preventive and acute care in all health care settings to various segments of the population, including newborns (neonatology), children and adolescents (pediatrics), adults, and the elderly (gerontology or geriatrics). RNs also may provide basic health care to patients outside of health care settings in such venues as including correctional facilities, schools, summer camps, and the military. Some RNs travel around the United States and abroad providing care to patients in areas with shortages of medical professionals.

Most RNs work as staff nurses, providing critical health care services along with physicians, surgeons, and other health care practitioners. However, some RNs choose to become advanced practice nurses, who often are considered primary health care practitioners and work independently or in collaboration with physicians. For example, clinical nurse specialists provide direct patient care and expert consultations in one of many of the nursing specialties listed above. Nurse anesthetists administer anesthesia, monitor patient’s vital signs during surgery, and provide post-anesthesia care. Nurse midwives provide primary care to women, including gynecological exams, family planning advice, prenatal care, assistance in labor and delivery, and neonatal care. Nurse practitioners provide basic preventive health care to patients, and increasingly serve as primary and specialty care providers in mainly medically underserved areas. The most common areas of specialty for nurse practitioners are family practice, adult practice, women’s health, pediatrics, acute care, and gerontology; however, there are many other specialties. In most States, advanced practice nurses can prescribe medications.

Some nurses have jobs that require little or no direct patient contact. Most of these positions still require an active RN license. Case managers ensure that all of the medical needs of patients with severe injuries and illnesses are met, including the type, location, and duration of treatment. Forensics nurses combine nursing with law enforcement by treating and investigating victims of sexual assault, child abuse, or accidental death. Infection control nurses identify, track, and control infectious outbreaks in health care facilities; develop methods of outbreak prevention and biological terrorism responses; and staff immunization clinics. Legal nurse consultants assist lawyers in medical cases by interviewing patients and witnesses, organizing medical records, determining damages and costs, locating evidence, and educating lawyers about medical issues. Nurse administrators supervise nursing staff, establish work schedules and budgets, and maintain medical supply inventories. Nurse educators teach student nurses and also provide continuing education for RNs. Nurse informaticists collect, store, and analyze nursing data in order to improve efficiency, reduce risk, and improve patient care. RNs also may work as health care consultants, public policy advisors, pharmaceutical and medical supply researchers and salespersons, and medical writers and editors.[1]

Where Nurses Work

Nurses work in all sorts of places.  To give you some idea about that we are including a list of ICNR member organizations.  You can go to those websites and look at Employment Opportunities or read about the organization to give you a small sampling of the many opportunities that exist for nurses.

ICNR Members 2006

Organizations                                                                      Website Addresses

ADN Council of Deans and Directors                            No website                          

Advance for Nurses                                                          www.advancefornurses.com

Advocate Health Care                                                       www.advocatehealth.com

Advocate Good Shepherd Hospital                                www.advocatehealth.com/gshp

Bromenn Healthcare                                                         www.bromenn.org

Carle Foundation Hospital                                                www.carle.com

Chicago Bilingual Nurse Consortium                            No website at this time     

Children’s Memorial Hospital                                          www.childrensmemorial.org

Condell Medical Center                                                    www.condell.org

Cook County Bureau of Health Services                      www.cchil.org/Cch/bureau.htm

Delnor Community Hospital                                             www.delnor.com

Edward Hospital                                                 www.edward.org

Elgin Community College                                                 www.elgin.edu

Elliott Enterprises and Consulting                                 No website at this time                     

Elmhurst Hospital                                               www.emhc.org

Evanston Northwestern Healthcare                              www.enh.org

FHN ( Freeport Health Network)                                      www.fhn.org

Graham Hospital School of Nursing                              www.grahamhospital.org

Greenville Regional Hospital                                           www.greenvilleregionalhospital.com

Harper College                                                   www.harpercollege.edu

Hospital Sisters Health System- IL Region 4              No website

Illinois Association of Colleges of Nursing              No website

Illinois Council of Directors of Practical
Nursing Programs                                             No website

Illinois Eastern Community Colleges                            www.iecc.edu

Illinois Health Care Association                                     www.ihca.com

Illinois Hospital Association                                            www.ihatoday.org

Illinois Org. of Associate Degree Nurses                    www.NOADN.org

Illinois Organization of Nurse Leaders                         www.ionl.org

Illinois Public Health Association                                  www.ipha.com    

Illinois Valley Community College                         www.ivcc.edu

Katherine Shaw Bethea Hospital                                   www.ksbhospital.com

KishHealth System                                                            www.kishhealth.org

Krier Co. Inc.                                                                       No website

Lewis and Clark Community College                            www.lc.edu

Licensed Practical Nurses Association of IL             No website

Loyola University Medical Center                                  www.lumc.edu

Marianjoy Rehabilitation Hospital                                  www.marianjoy.org

Mason District Hospital                                                    www.masondistricthospital.org

Memorial Health System                                                  www.mhsil.com

Mennonite College of Nursing at ISU                             www.mcn.ilstu.edu

Metropolitan Chicago Healthcare Council                   www.mchc.com

National Association of Nurses with Disabilities       www.nond.org

Northern Illinois University School of Nursing            www.niu.edu

Northwest Community Healthcare                                www.nch.org

Nurse Educators of Illinois                                              www.neionline.org

Nurses Lounge                                                                   www.nurseslounge.com

Nursing Spectrum                                                             www.nursingspectrum.com

Olivet Nazarene University                                              www.olivet.edu

OSF Saint James Hospital                                               www.osfsaintjames.org

OSF St. Joseph Medical Center                                      www.osfstjoseph.org

OSF St. Mary Medical Center                                          www.osfstmary.org

Paris Community Hospital                                               www.pariscommunityhospital.com

Parkland College                                                www.parkland.edu

Passavant Area Hospital                                                  www.passavanthospital.com

Pekin Hospital                                                    www.pekinhospital.org

Provena Saint Joseph Medical Center                         www.provenasaintjoe.org

Rehabilitation Institute of Chicago                                 www.ric.org

Richland Community College                                          www.richland.edu

RML Specialty Hospital                                                     www.rmlspecialityhospital.org

Rush Copley Medical Center                                           www.rushcopley.com

Rush University Medical Center                                     www.rush.edu

Saint Alexius Medical Center                                          www.stalexius.org

Saint Anthony College of Nursing                                   www.sacn.edu

Saint Francis Medical Center College of Nursing       www.osfsaintfrancis.org

Saint Xavier University                                                      www.sxu.edu

SEIU Nurse Alliance                                                           www.seiu.org

Southern IL University Edwardsville School
of Nursing                                                         www.siue.edu/NURSING

Trinity Christian College Department of Nursing        www.trnty.edu/depts/nursing

University of Chicago Hospitals                                      www.uchospitals.edu

University of IL at Chicago, College of Nursing           www.uic.edu

University of St. Francis College of Nursing
 & Allied Health                                                  www.stfrancis.edu

West Suburban College of Nursing                               www.wscn.edu

Nurses’ Daily Routines

Once you know what nursing is, it will be helpful to know what nurses do every day. To read profiles of all types of nurses, visit: Nurses for a Healthier Tomorrow

Is Nursing For You?

If you’re still not sure, The National Student Nurses’ Association (NSNA) has a great PDF called “Is Nursing For You”, which talks about getting into nursing and selecting a program.

Visit the main career page of the NSNA

One Other Thing

Nursing school is tough.  Nurses must start out as good students or they won’t make it.  It’s also important that you take the right courses is high school to prepare you for the nursing curriculum, which is grounded in math and sciences.  We’ve prepared a brochure for you to help you with that.  If you are in high school now, see your health occupations teachers, your school nurse, and/or your guidance counselor and ask them about preparation and courses for nursing.

High School Requirements Brochure for Nursing School

PREPARING FOR A CAREER IN NURSING

Provided by Blessing-Rieman College of Nursing
Broadway at 11th, Quincy, IL 62301
217-228-5520, ext. 6961 or 6964
800-877-9140
www.brcn.edu

A Guide for High School Students, Parents, and Counselors

Created by: Blessing-Rieman College of Nursing

Approved by: IL Assoc. of Colleges of Nursing, IL Coalition for Nursing Resources

So what preparation in High School will help you gain admission to the nursing program of your choice?

Here are some general guidelines:

  • Maintain a GPA of 3.0 or higher
  • Be sure you are in the upper half of your graduating class
  • Gain experience using computers, including keyboard skills
  • Microsoft Word or Word Perfect will be helpful in completing college assignments
  • Prepare for the ACT test and contact the College for minimum requirements

Nursing is an excellent career choice. It's flexible, and has many specialty areas from which to choose.

Nursing is in demand around the world, provides excellent salaries, and is personally rewarding.

If your school offers a college prep track, be sure you are taking courses in that track, including:

4-6 units of English,

4-6 units of Science - especially Biology and Chemistry,

3 units of Social Studies

2 units of Math - especially Algebra

Exact requirements may vary according to the college you attend.



[1] U.S. Department of Labor, Bureau of Labor Statistics, Occupational Outlook Handbook, 2006-07 Edition

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